/ Application for Electrical Product Certification
39-IC-F0025Issue 3.0Page 1 of 5
CERTIFICATION SERVICE
New equipment / Pre-allocated number requested# / Pre-allocated No.:
Certificate modification / change of particulars / Existing certificate No.:
Certificate renewal / Existing certificate No.:
Certificate replacement / Existing certificate No.:
/ Application for Electrical Product Certification
39-IC-F0025Issue 3.0Page 1 of 5
APPLICANT / CERTIFICATE HOLDER DETAILS / ACN / ABN(if applicable)
Name
Address
Country / Postcode
Contact
Telephone / (+ ) ( ) / Mobile / (+ )( )
E-mail / Facsimile / (+ )( )
AGENT DETAILS / ACN / ABN (if applicable)
Name
Address
Country / Postcode
Contact
Telephone / (+ )( ) / Mobile / (+ )( )
E-mail / Facsimile / (+ )( )
PRODUCT DETAILS
Type
Brand(s) / Model ref.
V / Hz / A / W / IP
Other details
(e.g.output rating)
/ Application for Electrical Product Certification
39-IC-F0025Issue 3.0Page 1 of 5
/ Application for Electrical Product Certification
39-IC-F0025Issue 3.0Page 1 of 5

# Minimum of Applicant, Agent and Product details to be completed and form signed if pre-allocated number requested. Remaining details to be provided before certification can commence.

FACTORY DETAILS (Factory’s or factories’ legal name(s) and location(s) required) / continue on separate sheet if necessary
Name
Address
Country / Postcode
MODIFICATION DETAILS (include details of alternate brand / model details for new certificates
Model ref. / Details of change(s)
continue on separate sheet if necessary
SUBMITTED TEST REPORT(S) / NOTE: Reports must be in English
Laboratory / Report # / Date of issue / Standard (s)
continue on separate sheet if necessary
APPLICANT'S DECLARATION

I hereby make application to UL International NZ for the certification of electrical products as described in this application and declare that:

-All statements and information provided in this application are true to the best of my knowledge.

-I have read and understand the attached TERMS AND CONDITIONS OF CERTIFICATION and agree to comply with the requirements for certification and to supply any information needed for the evaluation of product(s) to be certified.

-Products submitted for certification are representative of all production samples to be covered by any issued certificate, each of which will be clearly and indelibly marked with any required marking.

-Any change(s) to the name and/or address of the certificate holder, or to the certified product(s) will be notified to UL International New Zealand Ltd in accordance with the attached TERMS AND CONDITIONS OF CERTIFICATION.

Authorised signature / Dated
Printed name / Position
/ Application for Electrical Product Certification
39-IC-F0025Issue 3.0Page 1 of 5
ADDITIONAL INFORMATION

In the event that the certificate holder intends to mark certified product with a corporate certification number or the Regulatory Compliance Mark (RCM) instead of the certificate number, this should be indicated.

Corporate certification number / Regulatory Compliance Mark (RCM)

APPLICATION CHECK LIST

Please check that you have provided us with the following information and/or documents.

Test Report(s) and supporting certificate(s).
Letter of authorization for agent (if applicable).
Model cross reference declaration (if model to be certified differs from Test Report)
Marking artwork intended for Australian / New Zealand market (if not included in Test Report)
User Instructions intended for Australian / New Zealand market (if not included in Test Report)
Colour Photographs of product to be certified (if not included in Test Report).
Critical components list (if not included in Test Report).

TERMS AND CONDITIONS OF CERTIFICATION

AOrdering & Payment Terms. The following Terms detail the conditions and obligations of the applicant and certificate holder, together with the terms and conditions under which UL International New Zealand Limited (“the Certifier”) will process applications for certification under the JAS-ANZ approved ANZ Certification Program Type 1 type certification Program.

1. Terms and Conditions. These Terms and Conditions and the contract signed between the parties shall govern these services. UL AG reserves the right to assign its rights and responsibilities under these Terms and Conditions without notice

2. Certification Fees. The Certifier will provide the fee for a certification service on request.

The fee will be quoted for a single product review submitted with a single set of documentation.

Certification fees are non-refundable even where a product fails or testing is stopped by the applicant.

3. Payment options.

ULAG will issue the invoice once the Certifier receives the application requesting a certification service. Unless prior credit arrangements have been agreed, Applicant will pay the invoice in advance. Invoices will detail payment options.

B.Submissions

1.Applications. With each application for certification, applicant shall include the applicable application form(s) and the following supporting evidence:

  • Suitable test report(s) demonstrating compliance with applicable standard(s) and more fully described below;
  • Adequate supporting documentation;
  • A sample of the product if requested by the Certifier;
  • Production marking and instruction sheets; and
  • Critical component listing and specifications.

The supporting evidence should identify the product and any important design features. The Certifier reserves the right to request additional information in support of any application made.

2. Suitable Test Report(s). Applicant shall provide evidence of compliance with the applicable product standard by submitting an original or an authentic copy of a type test report, in English. The type test report shall cover a representative sample of the product. The submitted tests report(s) must state compliance with the applicable product standard(s). Acceptable test reports include:

  • Report from an IANZ, NATA, or MRA partner laboratory where the testing is covered by the scope of laboratory accreditation.
  • Report issued by a recognised IECEE CB Scheme laboratory where the testing is carried out by the CBTL and is covered by the scope of laboratory recognition. Applicant should include copies of the IECEE CB Scheme Certificate when submitting a TMP, WMP or SMT test report. RMT test reports are not accepted.
  • Other reports and/or documentation which are deemed by the Certifier to provide an equivalent degree of confidence.

3. Product sample. Where photographs and supporting documentation do not permit a clear identification of the product and any important design features, the Certifier may request that the applicant provide such evidence or a physical sample. Submitted samples shall be retained for a period of not less than 30 days. After 30 days, the Certifier may dispose of the samples in its sole discretion unless specific instructions have been given to the contrary.

C.Certification Process and Deliverables

1. Basis of certification decision. Any certificate issued by the Certifier is based upon conformity to the applicable product standard as demonstrated by the submitted evidence. The applicant takes sole responsibility for all products supplied to the Australian and New Zealand marketplace being the same as the certified sample(s).

2. Consideration of new technology. For non-declared product, when there is no existing standard due to new technology, consideration may be given to issuing a Certificate of Compliance (but not a Certificate of Approval) based on an equivalent applicable standard, where the non-conformance, if any, per the equivalent standard does not affect the safety of the product. Such a decision to certify will only be made upon review of any such request submitted in writing by the CO to the appropriate UL Subject Matter Expert.

3. Certification Body obligations. All applications submitted to the Certifier will be treated in a confidential and non-discriminatory manner. If required by the standard, certification details (as contained on the Certificate) will be available to the public upon public request. Additional certification details of declared articles may be made available to the regulatory authorities upon request.

4. Applicant / certificate holder obligations. Certificate holder agrees that it will only make claims of certification for products covered by the certification Program and listed on a valid certificate. The certificate holder shall not make claims regarding certification (including the use of any mark or logo) which are misleading, unauthorised or which could bring the certification body into disrepute, including but not limited to the sale of products using a pre-allocated certification mark for which a certificate authorising the use of that mark has not been issued. The certificate holder shall notify the Certifier of any changes to the certificate holder's name or contact details, or to the certified product, by formal application for modification. The certificate holder shall make available any samples, drawings, technical documentation or other records that the Certifier may require in the course of issuing and maintaining product certification.

5. Certification marking. Certificate of Approval numbers issued by the Certifier use the format UxxxxxEA. Certificate of Compliance numbers use the format Uxxxxx. "xxxxx" denotes a unique number specific to an issued certificate. Use of this mark is limited to certified products or their packaging, or to media referencing such products.

6. Corporate certification. An applicant may apply for a unique code to be issued for marking on all certified products. Individual certificates will still be issued for each certified product. Application for a corporate certification code shall be made using form 39-IC-F0025A together with the applicable fee.

7. Certificate validity. Certificates remain valid until the specified expiry date which will not exceed 5years from the date of issuance. Certificates are considered to be withdrawn upon expiry. Extension to the period of validity of an issued certificate may be considered only under special circumstances.

8. Certificate renewal. An issued certificate may be renewed prior to its expiry and application for renewal shall be made using form 39-IC-F0025 together with the applicable fee and documentation. Where the standard has been amended or revised, evidence of compliance with any amended or revised requirements will be required.

9. Use of Regulatory Compliance Mark. The applicant may use the Regulatory Compliance Mark (RCM) described in AS/NZS4417 instead of any certification mark issued by the certification body where the requirements of all applicable parts of AS/NZS4417 are fulfilled. The applicant shall advise the Certifier where the RCM is to be used.

10. Ownership of certificates. All issued certificates remain the property of the Certifier, with permission given to the certificate holder for use of the certificate for the period of its validity.

11. Test program. Where suitable evidence of compliance cannot be provided, the Certifier can provide a test programme in order to obtain certification. Additional costs will apply. Test programmes may include reference to sub-contract testing services where the Certifier has an agreement with a suitable sub-contract service provider. There is no obligation on behalf of the applicant to utilise those sub-contract testing services provided with a test program.

12. Non-conformity. Should issues of non-conformity be identified during the certification process the applicant will be notified. Multiple submissions or document review due to identification of non-conformities will incur addition cost as per the Schedule of Fees.

D.Certification Changes or Withdrawals

1. Certificate modification - change of particulars. The certificate holder shall notify the Certifier within 1month of any change in particulars such as address, trading name or legal status of the certificate holder, and brand or model reference of the certified product. Notification shall be made using form 39-IC-F0025 together with the applicable fee and documentation.

2. Certificate modification - change to product. The certificate holder shall notify the Certifier of any changes to certified product prior to marking and/or sale. Notification shall be made using form 39-IC-F0025 together with the applicable fee and documentation.

3. Replacement certificate or additional copies. Replacement certificates or additional copies may be requested from the Certifier using form 39-IC-F0025 together with the applicable fee.

4. Transfer of certificate. Where a certificate is to be transferred between parties, both the transferor and transferee will submit their written consent of the transfer to the Certifier. Notification shall be made using form 39-IC-F0025A together with the applicable fee and supporting documentation.

5. Suspension or cancellation of certificates. The Certifier has the right to suspend or cancel certificates where there has been a breach of these Terms of Certification or if the product is deemed to not meet certification requirements. In the event of suspension or cancellation, no reference shall be made to the product certification in any public form in any media including electronic media and the certificates shall be returned to the Certifier. In the event of certificate cancellation, the Certifier shall invoke the process outlined on the Australian Federal Recalls website; Any decision by the Certifier on suspension or cancellation shall be at its sole discretion. The applicant and certificate holder agree to cooperate in any recall action deemed appropriate.

EDisputes Complaints and Appeals

1. Application. All enquiries or applications for certification should be directed to:

UL AG

C/- Certification Manager, UL International New Zealand Ltd

PO Box 300-330, Albany 0752

21 Tarndale Grove, Albany 0632

Auckland, NEW ZEALAND

P:: +64.9.415.3355 / F::+64.9.415.3356

2. Certification disputes, complaints and appeals. If applicant has any questions or comments including dispute, complaint or wishes to appeal the decision of the Certifier; such feedback shall be provided in writing to the General Manager, UL International New Zealand Ltd, PO Box 300-330, Albany 0752, 21 Tarndale Grove, Albany 0632, Auckland, NEW ZEALAND, who will process any complaints in accordance with the company complaints policy.

3. Complaints Submitted to Certificate Holder. The certificate holder shall keep a record of all complaints made regarding certified products and shall also take appropriate action with respect to such complaints and any deficiencies identified that affect compliance with the requirements for certification. All such records shall be made available to the Certifier upon request. Certificate holders shall advise UL International New Zealand Ltd within five working days if and when they become aware their certified product is electrically unsafe or it does not comply with the relevant standard.

4. Changes to certification requirements. Changes to the ANZ Certification Program may arise from time to time due to revision of standards, accreditation criteria and regulatory requirements. The Certifier will notify certificate holders where the changes affect the validity or duration of a certificate.